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View ICR - OIRA Conclusion

OMB Control No: 2900-0101	ICR Reference No: 198504-2900-009
Status: Historical Active	Previous ICR Reference No: 198404-2900-001
Agency/Subagency: VA	Agency Tracking No:
Title: ELIGIBILITY VERIFICATION REPORT
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/03/1985
	Date Received in OIRA: 04/04/1985
Terms of Clearance: APPROVED WITH THE FOLLOWING CHANGES: FOR MONTHLY PAYMENTS, GROSS INCOME WILL BE COLLECTED AND DEDUCTIONS WILL BE DELETED FROM ALL FORMS. INSTRUCTIONS WILL BE MODIFIED TO CLARIFY WHAT CONSTITUTES GROSS INCOME. THESE CHANGES ARE NECESSARY TO REDUCE REPORTING BURDENS ON ELDERLY VETERANS. THE MEDICAL EXPENSES SECTION WILL BE MODIFIED TO ADD A QUESTION ON HEALTH INSURANCE COVERAGE IN ORDER TO VALIDATE INFORMATION PROVIDED IN THIS SECTION. TO THE EXTENT THAT NET WORTH CAN BE BROKEN OUT INTO SUB-PARTS, IT WILL BE DONE.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/1986	09/30/1986	02/28/1986
Responses	1,600,000	0	1,600,000
Time Burden (Hours)	400,000	0	400,000
Cost Burden (Dollars)	0	0	0

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
ELIGIBILITY VERIFICATION REPORT	VA 21-4179, 21-8913, 21-8914, 21-8915, 21-8916, 21-8917, 21-8918, 21-8919

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